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General NPI Number Information
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NPI Number | 1093623563
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Entity Type | Individual
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Provider Name | STEPHANIE KING DESMOND LGPC
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Gender | Female
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 30 W PATRICK ST STE 320
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City | FREDERICK
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State | MD
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Zip | 21701-5655
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Country | US
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Telephone | 240-792-8404
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Fax |
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Provider Business Mailing Address
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Address Line | 27915 BARNES RD
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City | DAMASCUS
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State | MD
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Zip | 20872-1534
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Country | US
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Telephone | 301-996-5220
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP18431
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License Number State | MD
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